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Exposure to p,p´-DDE during early pregnancy, anthropometry, and gestational age at birth, in a flower-growing region of Mexico

Published online by Cambridge University Press:  20 May 2022

Luisa Torres-Sánchez
Affiliation:
Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México
Maria Consuelo Escamilla-Nuñez
Affiliation:
Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México
Mariano E. Cebrian
Affiliation:
Departamento de Toxicología, Centro de Investigación y Estudios Avanzados (CINVESTAV), Instituto Politécnico Nacional, Ciudad de México, México
Monica Ancira-Moreno
Affiliation:
Departamento de Salud, Universidad Iberoamericana, Ciudad de México, México
Marta Rivera-Pasquel
Affiliation:
Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México
Virginia Lope
Affiliation:
Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, Spain Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública, CIBERESP, Madrid, Spain
Juan Ramos-Treviño
Affiliation:
Centro de Investigación Biomédica, Universidad Autónoma de Coahuila, Torreón, Coahuila, México
Julia Blanco-Muñoz*
Affiliation:
Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México
*
Address for correspondence: Julia Blanco Muñoz, MSc, Instituto Nacional de Salud Pública, Av. Universidad 655, Col. Sta. María Ahuacatitlán, CP: 62100, Cuernavaca, Morelos, México. Email: jblanco@insp.mx

Abstract

Prenatal exposure to dichlorodiphenyldichloroethylene (p,p´-DDE) may interfere with fetal development; however, studies evaluating anthropometry and gestational age at birth show inconsistent results. Typically, p,p´-DDE exposure has been measured during the third trimester and missed the key early pregnancy period. We evaluated the association between p,p´-DDE exposure before week 18 of pregnancy and anthropometry at birth, as well as gestational length, in 170 mother–child pairs from a cohort study in a flower-growing mexican region. Maternal serum p,p´-DDE concentrations were determined by gas chromatography. The associations between p,p´-DDE and z-scores of birth weight, birth length, and gestational age were evaluated by linear multiple regression models. Logistic regression models were used for low birth weight and small size for gestational age. Effect modification by child’s sex was explored. The average gestational age at the blood sample extraction was 10.6 weeks. p,p'-DDE was detected in 64.7% of mothers, at a geometric mean of 0.24 ng/mL. Prenatal p,p´-DDE exposure was not associated with the birth outcomes in the whole sample. However, a high p,p´-DDE exposure was marginally associated with greater small for gestational age risk in male newborns (OR≥0.076 ng/mL vs <0.076 ng/mL = 3.09, 95% CI: 0.61; 15.58), but not in female (p for interaction = 0.08).

Even though, we found no reductions in anthropometric measurements or gestational length associated with early prenatal p,p´-DDE exposure, the potential effect modification by infant’s sex in terms of small for the gestational age risk deserves future studies.

Type
Original Article
Copyright
© The Author(s), 2022. Published by Cambridge University Press in association with International Society for Developmental Origins of Health and Disease

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